| NPI | 1932490091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: SC 51337) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT199003) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT199003) | |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2022-07-21 |